The Later Years

  • Thomas Kalchthaler

Abstract

Each member of society belongs to a family which may be a single member unit, a traditional unit consisting of husband, wife, and offspring, or a more complex unit consisting of an extended family with multiple interactions among two to three generations. Just as the family unit has an individual identity with traditions, aspirations, and needs, so also does each member of this unit have individual and unique traditions, aspirations, and needs which may change and evolve with time. The family physician must approach the older patient as an individual belonging to a family unit whose history encompasses the past, the present, and the future. The older individual may be a vital member of the family unit or may not. However, that individual nevertheless fulfills a role within that family, and his pain, suffering, and limitations will affect the family unit. The family physician must understand the family unit in which the individual functions just as he must understand and work with the individual patient.

Keywords

Family Physician Family Unit Late Life Duodenal Diverticulum Organic Brain Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Atchley R, Seltzer M: The Sociology of Aging. Selected Reading. Belmont, Calif, Wadsworth, 1976Google Scholar
  2. 2.
    Blazer D, Palmore E: Religion and aging in a longitudinal panel. Gerontologist 16:82, 1976PubMedCrossRefGoogle Scholar
  3. 3.
    Brockelhurst JC: Textbook of Geriatric Medicine and Gerontology. Edinburgh, Churchill Livingstone, 1973Google Scholar
  4. 4.
    Brotman HB: Administration on Aging. Washington, DC, Department of HEW, 1970Google Scholar
  5. 5.
    Brotman HB: Vote participation in November 1976. Gerontologist 17:157, 1977PubMedCrossRefGoogle Scholar
  6. 6.
    Butler RN, Lewis MI: Aging and Mental Health. St Louis, Mosby, 1973Google Scholar
  7. 7.
    Carp FM: Impact of improved housing on morale and life satisfaction. Gerontologist 15:511, 1975PubMedCrossRefGoogle Scholar
  8. 8.
    Clemente F, Kleinman MB: Fear of crime among the aged. Gerontologist 16:207, 1976PubMedCrossRefGoogle Scholar
  9. 9.
    Epstein LJ: Depression in the elderly. J Gerontol 31: 278, 1976PubMedCrossRefGoogle Scholar
  10. 10.
    Fann WE: Pharmacotherapy in older depressed patients. J Gerontol 31:304, 1976PubMedCrossRefGoogle Scholar
  11. 11.
    Godbole A, Verinis JS: Brief psychotherapy in the treatment of emotional disorders in physically ill geriatric patients. Gerontologist 14:143, 1974PubMedCrossRefGoogle Scholar
  12. 12.
    Golant SM: Residential concentrations of the future elderly. Gerontologist 15:16, 1975PubMedCrossRefGoogle Scholar
  13. 13.
    Gurland BJ: Comparative frequency of depression in various adult age groups. J Gerontol 31:283, 1976PubMedCrossRefGoogle Scholar
  14. 14.
    Jaruik LF: Aging and depression. Some unanswered questions. J Gerontol 31:324, 1976CrossRefGoogle Scholar
  15. 15.
    Jewett S: Longevity and the longevity syndrome. Gerontologist 91, 1973Google Scholar
  16. 16.
    Johnson ES, Bursk BJ: Relationships between the elderly and their adult children. Gerontologist 17:90, 1977PubMedCrossRefGoogle Scholar
  17. 17.
    Kalchthaler T, Libow L: Delivery of geriatric community care. Congress abstracts, 10th International Congress of Gerontology, 1975, pp 200–202Google Scholar
  18. 18.
    Klerman GL: Age and clinical depression. Today’s youth in the twenty-first century. J Gerontol 31:318, 1976PubMedCrossRefGoogle Scholar
  19. 19.
    Koestenbaum P: The vitality of death. J Existentialism 5:163, 1964Google Scholar
  20. 20.
    Kral VA: Somatic therapies in older depressed patients. J Gerontol 31:311, 1976PubMedCrossRefGoogle Scholar
  21. 21.
    Lawton MP: Relative impact of congregate and traditional housing on elderly tenants. Gerontologist 16:237, 1976PubMedCrossRefGoogle Scholar
  22. 22.
    Libow L: Interaction of medical, biologic, and be-havorial factors on aging. Adaptation and survival. Geriatrics 29:75, 1974PubMedGoogle Scholar
  23. 23.
    Libow L: Pseudosenility. J Am Geriatr Soc 21:112, 1973PubMedGoogle Scholar
  24. 24.
    Libow L, Zicklin R: Penultimate will. Gerontologist 13:440, 1973PubMedCrossRefGoogle Scholar
  25. 25.
    Lipton MA: Age differentiation in depression. Biochemical aspects. J Gerontol 31:293, 1976PubMedCrossRefGoogle Scholar
  26. 26.
    Mendlewicz J: Age factor in depressive illness. Some genetic considerations. J Gerontol 31:300, 1976PubMedCrossRefGoogle Scholar
  27. 27.
    Neugarten B: Future and the young-old. Gerontologist 15:4, 1975PubMedCrossRefGoogle Scholar
  28. 28.
    Powers JH: Surgery of the aged and debilitated patient. Philadelphia, Saunders, 1968Google Scholar
  29. 29.
    Rossman I: Clinical geriatrics. Philadelphia, Lippin-cott, 1972Google Scholar
  30. 30.
    Schuckit MA: Geriatric alcoholism and drug abuse. Gerontologist 17:168, 1977PubMedCrossRefGoogle Scholar
  31. 31.
    Sundeen RA, Mathieu JT: Fear of crime and its consequences among elderly in three urban communities. Gerontologist 16:211, 1976PubMedCrossRefGoogle Scholar
  32. 32.
    U.S. Department of Health, Education, and Welfare: Working with Older People. 1–13. Washington, DC, U.S. Government Printing Office, 1972Google Scholar
  33. 33.
    Vickers R: Therapeutic milieu and the older depressed patient. J Gerontol 31:314, 1976PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1978

Authors and Affiliations

  • Thomas Kalchthaler

There are no affiliations available

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